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Individual

MR. CORY J VEDIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMSW

Contact information

Practice address
333 S STEPHENSON AVE, IRON MOUNTAIN, MI 49801-2942
(906) 235-2261
Mailing address
PO BOX 842, IRON MOUNTAIN, MI 49801-0842
(906) 828-5118

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801086739
MI
1041C0700X
Clinical Social Worker
6801086739

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6801086739
MASTER'S OF SOCIAL WORK
MI
Enumeration date
08/30/2006
Last updated
06/26/2020
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